Valley-wide Buena Vista | |
707 Us Highway 24 N Buena Vista CO 81211-9863 | |
(719) 395-8610 | |
(719) 395-5745 |
Full Name | Valley-wide Buena Vista |
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Speciality | Clinic/Center |
Location | 707 Us Highway 24 N, Buena Vista, Colorado |
Authorized Official Name and Position | Jania Arnoldi (PRESIDNET/CEO) |
Authorized Official Contact | 7195895161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley-wide Buena Vista 128 Market St Alamosa CO 81101-2290 Ph: (719) 587-1001 | Valley-wide Buena Vista 707 Us Highway 24 N Buena Vista CO 81211-9863 Ph: (719) 395-8610 |
NPI Number | 1972111953 |
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Provider Enumeration Date | 07/16/2020 |
Last Update Date | 05/13/2024 |
Medicare PECOS PAC ID | 5991609067 |
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Medicare Enrollment ID | O20200901000863 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972111953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ark Valley Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Oak Street, Buena Vista, CO 81211 Phone: 719-966-5088 |